Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 07/07/2024
    TIME: 1432
    RECEIVED BY:
    CONTROL#:
    Cal OES - 24-3849
    NRC - 1404024
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
NRC
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Private Citizen
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Coolant ( Ethylene Glycol )=Unknown Gal(s)CHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Per the NRC report: The caller reported a discharge of an unknown amount of coolant from a passenger truck onto asphalt and into a gutter at the incident location. The caller stated the vehicle was dropped off at this location by a tow truck and appears to have been in an accident.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
Unknown if stopped, Unknown if containedYesGutterUnknown
l. MARITIME VESSEL
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 742 Jasper Ave
b. CITY:c. COUNTY: d. ZIP:
Ventura
Ventura CountyVENTURA COUNTY APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
07/07/20241400 Road Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
Police Dept.
d. ADMIN. AGENCY: Ventura City Fire Departmente. SEC. AGENCY: Ventura County Environmental Health
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

4
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFW-OSPR, CDPH-D.O., DWP-DO, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 24-3849 *********

Created by: Warning Center on: 07/07/2024 02:32:17 PM Last Modified by: Warning Center on: 07/07/2024 02:44:40 PM